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City of Zephyrhills <br /> i <br /> 5335 811 St <br /> Ze h rhills FL 93542 <br /> p.,Y 1 <br /> (813)780-. 020 <br /> i <br /> ROOFING INSPECTION AFFIDAVIT ;. <br /> Permit No.: 0 n 0 1 "[ Z 0 <br /> I, t7 A) licensed under Chapter 468,Florida Statutes as a(n): ` <br /> Contractor.. Archite.. - Building Inspector- <br /> LicenseNo: <br /> On or about did personally inspect the: t <br /> Check: Roof Deck Nailing.: : . Dry in.. --' Flashing and Drip,edge <br /> Check Which was,used: 30#felt_Peet and Stick_Other(List)S to '`C LAR,11—"4 <br /> At the following r— <br /> address": `0 <br /> �S. <br /> Based upon that examination,I have determined the installation was done.according to the Hurricane <br /> Mitigation Retrofi anual.(Based on Section 553.844,Florida S utes). j <br /> i <br /> -Signature <br /> STATE OF FLORiDA <br /> COUNTY OF PASCO <br /> Sworn to.and subscribed before this day <br /> F: <br /> BY: <br /> Notary Public State of Florida <br /> 1. <br />